-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - Venous Catheter (CVC)-Related Bloodstream Infections (BSIs)
Why Focus on Central Line-Related Bloodstream … • Starting in 2015, the central venous catheter-related bloodstream infection PSI will be
one of … Central venous catheter insertion kit. … Central venous catheters (triple lumens, swans, PICCs, etc.). … Venous Catheter (CVC)-Related Bloodstream Infections (BSIs)
Why Focus on Central Line-Related Bloodstream
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Central venous catheter insertion kit. … Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … Venous Catheter. … Central Venous Catheters Insertion – Assisting. … Bizzarro MJ, Noonan M, Bonfiglio MP, et al., and Central Venous Catheter Initiative
Committee.
-
ahrqpubs.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Venous Catheters
MPSMS
Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries
MPSMS … Post-Op Respiratory Failure (PSI 11)
PSI
Accidental Puncture or Laceration (PSI 15)
Acronyms: Central … Associated With Warfarin
10.85
17.40
0.62
CLABSI
Blood Stream Infections Associated With Central … Venous Catheters
1.44
2.24
0.64
CAUTI
Catheter-Associated Urinary Tract Infections
18.80 … Joint Replacements
1.02
3.62
0.28
All Other HACs
Mechanical Complications Associated With Central
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap5.doc
December 11, 2012 - Central Line Insertion Care Team Checklist
Patient Name: ______________________________ Hx#:________ … blood from each lumen (to avoid air embolism and ensure intravascular placement)
Transduce central … venous pressure or estimate central venous pressure by fluid column (to avoid arterial placement)
-
ahrqpubs.ahrq.gov/hai/clabsi-tools/appendix-5.html
March 01, 2018 - Program
Tools
Reducing CLABSI Toolkit
Toolkit Components
Appendix 5: Central … Telemedicine
Universal ICU Decolonization Protocol
Appendix 5: Central … Line Insertion Care Team Checklist
Tools for Reducing Central Line-Associated Blood Stream Infections … These tools will help your unit implement evidence-based practices and eliminate central line-associated … venous pressure or estimate central venous pressure by fluid column (to avoid arterial placement)
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - tools from the Pediatric QI Toolkit – which
are all included in the QI Toolkit as well - to reduce
central … had
made some progress in the past by implementing
CLABSI reduction programs, such as the use of
central … venous catheter maintenance bundles. … Venous
Catheter (CVC)-Related
Bloodstream Infections (Tool
D.4x)
• Gap Analysis (D.5) … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Infections
370,000 11.30 350,000 10.58
CLABSI MPSMS Blood Stream
Infections Associated
With Central … Venous
Catheters
17,000 0.52 17,000 0.51
https://admin.ahrq.gov/professionals/quality-patient-safety … 2.51
VAP MPSMS Ventilator-Associated
Pneumonia
35,000 1.07 34,000 1.02
VTE MPSMS Postoperative
Venous … 2012 PFP
Measured
HACs per
1,000
Discharge
s
MPSMS Mechanical
Complications
Associated With
Central … Venous
Catheters
130,000 3.84 120,000 3.74
MPSMS Postoperative
Cardiac Events for
Cardiac and
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - National HAC Rates
Adverse Drug Events (ADE)
Catheter-Associated Urinary
Tract Infections (CAUTI)
Central … Preliminary 2016 vs. 2014 Baseline
Adverse Drug Events
Catheter-Associated
Urinary Tract Infections
Central … -800 -1,800
Catheter-
Associated Urinary
Tract Infections
$419,140,000 $82,800,000 1,100 200
Central … like all rates in the sample, uses all patients in the denominator, not just the patients
who had a central … difficile Infections 85,558 2.88
CLABSI MPSMS Blood Stream
Catheters
Infections Associated With Central
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - 0.9%
27.9%
2.8% 0.4%
0.8%
8.1%
Adverse Drug Events
Catheter-Associated Urinary Tract
Infections
Central … 1,692
1,150
1,768
7,746
Adverse Drug Events
Catheter-Associated Urinary Tract
Infections
Central … $136,000,000
$2,907,000,000
Adverse Drug Events Catheter-Associated Urinary Tract Infections
Central … Tract
Infections
250,000 7.6
CLABSIs MPSMS
(2014)
Blood Stream
Infections Associated
With Central … Catheter-Associated
Urinary Tract
Infections
400,000 250,000 150,000 38% $150,000,000 3,495
Central
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 04, 2018 - Catheter-Associated Urinary Tract Infections
CLABSI+
Clostridium
difficile
Infections
+CLABSI - Central … Pressure
Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
0%
(Post-op)
Venous
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer
PSI 06 Iatrogenic Pneumothorax
PSI 07 Central Venous Catheter-Related … Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate
PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate
Sentinel Events (Pediatric) PDI 03 Retained Surgical
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - Events
-3%
Pressure
Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
-13%
Venous … All Other
HACs
-14%
Totals
-13%
*CAUTI - Catheter-Associated Urinary Tract Infections
+CLABSI - Central
-
ahrqpubs.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Infections
370,000
11.30
350,000
10.58
CLABSI
MPSMS
Blood Stream Infections Associated With Central … Venous Catheters
17,000
0.52
17,000
0.51
Falls
MPSMS
In-Hospital Patient Falls
260,000 … MPSMS
Ventilator-Associated Pneumonia
35,000
1.07
34,000
1.02
VTE
MPSMS
Postoperative Venous … C. difficile
100,000
3.16
110,000
3.30
MPSMS
Mechanical Complications Associated With Central … Venous Catheters
130,000
3.84
120,000
3.74
MPSMS
Postoperative Cardiac Events for Cardiac
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Venous Catheter-Related Bloodstream
Infection [CLABSI]) and PSIs 07 and 13 (Central Venous Catheter-Related … PDI 12 Central Venous Catheter-
Related Blood Stream
Infection
Differentiate between a central line … PSI 07 Central Venous Catheter-Related
Bloodstream Infections (CV-
CRBIs)
Differentiate between a … CV-CRBSI is “infection due to central venous catheter,” which means that the catheter is the
source … PDI 12
Central Venous Catheter-
Related Bloodstream
Infections (CV-CRBI)
X
.
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Adverse Drug Events 1,001,000 33.7
Catheter-Associated Urinary Tract
Infections
170,000 5.7
Central … 21.8
Surgical Site Infections 73,000 2.5
Ventilator-Associated Pneumonias 36,000 1.2
(Post-op) Venous … Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … Venous
Catheters
Falls MPSMS In-Hospital
Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 … Venous
Catheters
MPSMS Postoperative
Cardiac Events
32,773 1.10 28,768 0.97 22,103 0.74 45,886
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Adverse Drug Events 1,001,000 33.7
Catheter-Associated Urinary Tract
Infections
170,000 5.7
Central … CDI MPSMS Clostridioides difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central … Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … Venous
Catheters
Falls MPSMS In-Hospital
Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 … Venous
Catheters
MPSMS Postoperative
Cardiac Events
32,773 1.10 28,768 0.97 22,103 0.74 45,886
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Surgical Item or Unretrieved Device Fragment Count
• PSI 06 Iatrogenic Pneumothorax Rate
• PSI 07 Central … Venous Catheter-Related Blood Stream Infection Rate
• PSI 08 Postoperative Hip Fracture Rate
• PSI … Failure Rate
• PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound Dehiscence Rate
• PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate
In addition, a more general best practices form
-
ahrqpubs.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Reconciliation
Catheter-associated urinary tract infection (CAUTI): Toolkit for Reducing CAUTI in Hospitals
Central … Improving Surgical Care and Recovery
Surgical site infections: Toolkit To Promote Safe Surgery
Venous … thromboembolism (VTE): Preventing Hospital-Associated Venous Thromboembolism
Ventilator-associated
-
ahrqpubs.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Tract Infections
250,000
7.6
CLABSIs
MPSMS (2014)
Blood Stream Infections Associated With Central … Venous Catheters
5,000
0.2
Falls
MPSMS (2014)
In-Hospital Patient Falls
260,000
7.9 … Antibiotic-Associated C. difficile
93,000
2.8
MPSMS (2014)
Mechanical Complications Associated With Central … Infections
400,000
250,000
150,000
38%
$150,000,000
3,495
Central … 40%
50%
20%
106,000
$1,000
.023
$106,000,000
2,470
Central
-
ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
July 01, 2016 - Y Y Y Y Y
PSI 06 Iatrogenic Pneumothorax 0.5 0.6 1 $36,576 $ 36,576 N 2 1 1 Y Y Y Y Y
PSI 7 Central … Venous Catheter-Related Bloodstream Infections 3.2 0.9 25 $82,147 $ 2,053,675 Y 10 10 8 Y Y Y Y … PDI 11 Postoperative Wound Dehiscence Rate 0.0 1.1 0 $76,737 $ - 0 N 5 5 5 Y Y Y Y Y
PDI 12 Central … Venous Catheter-Related Blood Stream Infection 0.4 0.8 2 $121,010 $ 242,020 N 10 9 9 Y Y Y Y N